Services

Click on the tabs for more information about each service.

Utilization Review - Medical Audits

Provide pre-authorization, concurrent, and retrospective medical chart reviews

   *WYmed staff uses Interqual and Milliman review guidelines.

 

Case Management/ Care Coordination

Provide coordination of care for patient transitioning from acute, sub acute, Palliative or hospice care
Medical chart Reviews to authorize payment for outpatient services, Inpatient services, Durable Medical equipment, and Physical Therapy

 

Claims Review

Research pended claims. Make recommendations for payment or denials.

 

Medical Staffing Services

We provide temporary and permanent placement services for the following positions:

  • Neuropsychologists
  • Bioenvironmental Engineers
  • Recreational Therapists
  • Recreational Therapist Assistants
  • Non Clinical Case Managers
  • Registered Nurses
  • Licensed Practical Nurses
  • Certified Nursing Assistants
  • Medical Accounts Receivables Coordinators
  • Medical Collections Specialists
  • Mental Health Professionals

 

Health Education Program Development

Education and Training provided for members and/or case-management patients